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1023099264
JAKE D THIESSEN
MECHANICSBURG, PA
NPI
1023099264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: PA 000107)
Enumeration Date
2005-11-05
Last Update Date
2007-07-08
Business Address
JAKE D THIESSEN PHD
5006 LENKER ST
MECHANICSBURG, PA 17050-2440
Phone number: 717-730-0733
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Mailing Address
JAKE D THIESSEN PHD
105 YELLOW BREECHES DR
CAMP HILL, PA 17011-8351
Phone number: 717-730-0733
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